Payer Management Jobs
Browse 61 exciting jobs hiring in Payer Management now. Check out companies hiring such as Ochsner Health, Aledade, Penske Truck Leasing in Moreno Valley, Birmingham, Irving.
Experienced clinical leader needed to direct case management and care coordination at an inpatient rehabilitation hospital partnered with Ochsner and Select Medical.
Provide inpatient rehabilitation case management (RN or LMSW) on a per-diem basis, coordinating care, discharge planning, and utilization management for complex rehab patients at Ochsner Rehabilitation Hospital.
Lead Aledade's Health Plan Performance efforts to convert contract and performance data into strategic initiatives that deliver quality improvements and shared savings across payer contracts.
Lead the case management team at Select Specialty Hospital in Madison, directing utilization review, discharge planning, payer coordination, and staff development for medically complex patients.
Senior healthcare leader needed to modernize and centralize revenue cycle operations across a multi-facility NY-focused health system, ensuring compliance and financial sustainability for rural communities.
Innovaccer is looking for an Associate Director of Growth Strategy to lead market assessments, strategic narratives, and cross-functional go-to-market efforts that accelerate growth with healthcare customers.
Lead payer-focused product strategy and execution at HHAeXchange, building interoperable, revenue-driving solutions for home and community-based care.
PointClickCare is hiring a Sr. Provider Customer Success Manager to partner with acute and payer clients across California to drive adoption, deliver ROI, and scale best practices.
TREND Health Partners is hiring a remote Provider Services Analyst I to analyze denials, draft effective appeals, and drive recoveries using payer portals and EMR systems.
Experian is hiring a Client Onboarding Consultant to drive end-to-end client setups and successful implementations across products and payers in a remote, Central Time role.
Humata Health is hiring an RN with utilization management experience to help digitize payer policies, validate AI-driven prior authorization workflows, and coordinate cross-functional projects.
EnableComp is hiring an Implementation Project Manager to lead client implementations, manage integrations and timelines, and ensure successful onboarding into its E360 RCM™ platform.
Cogent Biosciences seeks an experienced Senior Director, Payer Accounts to lead payer account strategy and a field team focused on maximizing coverage and access for its precision therapies.
Lead the US access marketing strategy for Vyndamax, driving payer engagement, formulary positioning, and cross-functional execution to achieve profitable access.
Lead provider access marketing for Kite's LBCL franchise, building strategies, tools, and cross-functional programs that improve provider onboarding, reimbursement education, and ATC expansion.
Lead Tava Health's revenue cycle operations to drive improved collections, lower denial rates, and scalable billing workflows across EMR and third-party RCM systems.
Lead product strategy and delivery for Abacus's AI/GenAI solutions, translating payer business needs and healthcare data standards into scalable cloud-native products.
Aledade seeks an experienced Manager, Network Contracting to negotiate and manage payer network participation agreements and drive contract lifecycle processes while working remotely across the U.S.
Pfizer seeks an experienced Health and Science System Specialist to lead account-based engagement, grow product demand, and build strategic relationships across health systems in the Houston territory.
Finni Health is hiring a Credentialing Manager to lead payer network growth, manage enrollment operations, and drive RCM efficiency at a rapidly scaling autism care platform.
Humata Health is hiring a consultative Project Manager to lead end-to-end payer implementations and ensure successful customer adoption, retention, and operational handoffs.
Spring Health seeks a Strategic Customer Success Manager to lead enterprise health plan relationships, drive renewals and upsells, and translate clinical and platform value into measurable outcomes for payer partners.
A senior leader role driving AI platform adoption and enterprise transformation across payer accounts by advising C-level stakeholders and scaling Gravity across clinical, operational, and financial portfolios.
Lead Spring Health’s payer integration portfolio to deliver timely, high-quality payer launches, improve claims performance, and manage a growing integrations team.
Lead a field-based market access team to drive pricing, contracting and reimbursement strategies across oncology health system accounts for a global biopharma organization.
Cogent Biosciences seeks a Senior Director, Key Accounts Management Lead to drive national GPO/payer strategies, lead an account director team, and secure optimal access and formulary positioning for oncology and specialty products.
Sutter Health is hiring a Physician Advisor to lead utilization review, support clinical documentation improvement, and guide level-of-care decisions at its Sacramento facility.
PM Pediatric Care is hiring a Revenue Cycle & Billing Operations Lead to drive payer-related projects, optimize denial management, and deliver actionable RCM reporting for a growing remote team.
Lead Foodsmart's expansion into the healthcare payer market by sourcing, negotiating, and closing large, complex contracts with a focus on Medicaid and government-sponsored plans.
Nuna is hiring a Director of Business Development to lead enterprise deal-making, drive strategic partnerships with payers and providers, and scale commercial operations for its health-tech products.
Lead payer compliance and reimbursement integrity for UChicago Medicine’s revenue cycle in a hybrid Director role based out of Burr Ridge, overseeing analytics, contract enforcement, and payer relationships.
A remote Medical Billing Specialist is needed to manage claims submission, remit posting, and payer credentialing follow-up for a US-based health tech client using a custom EHR.
Cigna Healthcare seeks a seasoned Program Management Senior Advisor to lead AAPS product roadmaps and Agile delivery, driving strategic planning, stakeholder alignment, and high-quality execution across pre- and post-pay initiatives.
Lead trade strategy and pharmacy channel partnerships for AbbVie's neuroscience and eye care portfolio to drive patient access and launch excellence.
Experienced market research leader needed to design and run primary research for HCPs, patients and payers and deliver actionable insights to support Novartis therapeutic area strategies.
Lead the design, execution, and vendor management of patient affordability programs for a major biopharma brand to maximize patient access while balancing GTN impact and compliance.
Lead on-site physician billing operations at Nassau University Medical Center, managing claims, denials, KPI reporting, and cross-functional coordination for NuHealth.
Experienced revenue-cycle leader needed to lead and optimize patient access operations across Covenant Health, improving front-end financial clearance, patient experience, and regulatory compliance.
Novartis seeks a Director, Payer Insights to lead advanced analytics and market-access strategy, delivering data-driven payer insights that optimize pricing, contracting, and patient access.
Field-based Specialty Sales Representative needed to establish ARS's neffy in hospital, IDN, and specialty accounts across the Cleveland territory, driving adoption, payer access, and clinical engagement.
Experienced sales leader needed to manage and grow a General Pediatrics-focused regional sales team across the Northwest Mountain region to drive adoption of GeneDx genomic testing solutions.
Experienced managed-markets leader sought to manage national and regional payer accounts, secure formulary access, and drive product launch success for IQVIA's pharmaceutical clients in a part-time remote capacity.
Drive strategic architecture and executive-level engagements for Healthcare Payer customers by translating business priorities into ServiceNow platform solutions that enable digital transformation and operational efficiency.
Lead and grow a high-performing regional pediatrics sales team for GeneDx, driving market adoption of advanced genetic testing across the Atlantic North region while coaching field reps and executing strategic commercial initiatives.
Experienced medical billing and collections specialist needed at USA Clinics Group’s Northbrook corporate office to manage insurance follow-ups, resolve denials, and support revenue cycle operations.
Lead and grow GeneDx's General Pediatrics commercial presence in the Ohio Valley as a Regional Sales Director responsible for regional performance, team leadership, and strategic field execution.
Lead a high-performing General Pediatrics sales team across New England to expand adoption of GeneDx’s genomic testing solutions and exceed regional goals as Regional Sales Director.
GeneDx seeks a Regional Sales Director to lead the General Pediatrics sales team across the Coastal Southeast, driving adoption of advanced genetic testing and regional revenue growth.
AbbVie is hiring a Director of HEOR Strategy (Oncology) in Mettawa, IL to lead evidence-generation and value demonstration efforts across pipeline and marketed oncology assets.
Lead and grow a national field sales team at AbbVie to drive the successful launch and adoption of an ultra-rare oncology therapy across strategic accounts and academic centers.
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